Lady's Thumb
Generally Safe

Lady's Thumb

Persicaria maculosa
Lady's ThumbSpotted KnotweedRedshank

Important Disclaimer

This is not medical advice. Consult a qualified healthcare provider before using any remedy, especially if pregnant, breastfeeding, on medication, or managing a health condition.

Overview

Lady's Thumb is a common annual herb found throughout temperate regions worldwide, easily recognized by the distinctive dark purple thumbprint-shaped spot on each leaf. A member of the knotweed family, it has been used in traditional medicine across many cultures for its astringent, anti-inflammatory, and wound-healing properties. The plant contains tannins, flavonoids, and other compounds that make it useful for digestive complaints, wound care, and skin conditions.

Traditional Use

Lady's Thumb has been used medicinally by many cultures worldwide. Native American tribes including the Cherokee, Iroquois, and Ojibwe used it for digestive complaints, skin conditions, and as a wound herb. In European folk medicine, it was used as an astringent for diarrhea and as a topical remedy for wounds and skin irritations. Traditional Chinese medicine uses related Persicaria species for clearing heat, resolving dampness, and treating skin conditions. In South American folk medicine, it has been used for stomach complaints and as an anti-inflammatory.

Key Active Compounds

Tannins

Astringent polyphenols that tighten tissues, reduce inflammation, stop minor bleeding, and have antimicrobial properties. Primary compounds responsible for wound-healing and anti-diarrheal effects.

Flavonoids (Quercetin, Rutin)

Antioxidant and anti-inflammatory compounds that support capillary integrity, reduce inflammation, and provide antioxidant protection.

Oxalic Acid

Present in moderate amounts; contributes to the plant's astringent taste. Note: high oxalate content means those with kidney stones should limit intake.

Phenolic Acids

Anti-inflammatory and antioxidant compounds including caffeic and chlorogenic acids.

Evidence-Based Benefits

Wound healing and bleeding control

Traditional use

Tannins in Lady's Thumb tighten tissues and help stop minor bleeding. Traditionally applied as a poultice to cuts, wounds, and abrasions to promote healing and prevent infection.

Digestive support

Traditional use

Astringent tannins help reduce intestinal inflammation and control diarrhea. Lady's Thumb tea has been used traditionally for digestive complaints including diarrhea, dysentery, and intestinal inflammation.

Anti-inflammatory effects

Some studies

Flavonoids and phenolic acids demonstrate anti-inflammatory activity in laboratory studies, supporting traditional use for inflammatory conditions.

Skin conditions

Traditional use

Topical preparations have been used for eczema, psoriasis, and other inflammatory skin conditions, with astringent tannins helping to reduce inflammation and weeping.

Common Preparation Methods

Herbal Tea

Steep 1-2 teaspoons of dried Lady's Thumb herb in 8 oz of hot water for 10-15 minutes. Strain and drink.

Dosage: 2-3 cups daily

Astringent taste; can be combined with peppermint or chamomile to improve flavor.

Fresh Poultice

Gather fresh Lady's Thumb leaves, wash thoroughly, and crush or blend. Apply directly to wounds, cuts, or skin irritations. Cover with a clean cloth.

Dosage: As needed, 2-3 times daily

Most effective when used fresh. Excellent for minor wounds and insect bites.

Tincture

Use a 1:5 tincture in 40% alcohol. Take 2-3 ml three times daily.

Dosage: 2-3 ml, 3 times daily

Effective for chronic digestive complaints.

Topical Wash

Brew a strong tea from Lady's Thumb, allow to cool, and use as a wash for wounds, skin irritations, or as a mouthwash for oral inflammation.

Dosage: As needed

Effective as a wound wash and for oral health support.

Safety & Cautions

Please read carefully before use

Contraindications

  • Kidney stones (oxalate content): limit intake
  • Pregnancy: avoid large medicinal doses
  • Constipation: astringent tannins may worsen constipation

Drug Interactions

  • Iron absorption: tannins may reduce iron absorption; take separately from iron supplements
  • No significant drug interactions known

Possible Side Effects

  • Generally well-tolerated
  • Constipation with excessive use (due to tannins)
  • Rare allergic reactions

Special Populations

  • Pregnancy: safe as food; avoid large medicinal doses
  • Kidney stone history: limit due to oxalate content
  • Children: safe in small amounts as tea

Quick Reference

Family / Type:

Polygonaceae

Parts Used:

Aerial parts (leaves, stems, flowers), Seeds

Taste / Profile:

Astringent, slightly bitter, peppery

Safety First

Always consult with a qualified healthcare provider before starting any new remedy, especially if you have existing health conditions or take medications.